Incidencia, tendencia y distribución municipal de los tumores asociados al tabaco en el Área de Salud de León1997-2014

  1. L. García-Martínez 1
  2. V. Dávila Batista 1
  3. L. Estévez Iglesias 3
  4. C. González Donquiles 12
  5. A. De la Hera Magallanes 3
  6. A.J. Molina de la Torre 1
  1. 1 Instituto de Biomedicina (IBIOMED), Universidad de León, León, España
  2. 2 CIBERESP, Instituto de Salud Carlos III, Madrid, España
  3. 3 Servicio de Anatomía Patológica, Complejo Asistencial Universitario de León, León, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2019

Issue: 6

Pages: 406-412

Type: Article

DOI: 10.1016/J.SEMERG.2018.09.008 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Abstract

Objective For cancer incidence, tobacco use is one of the main avoidable risk factors.The aim of this study is to describe the frequency, trend and geographical distribution of the incidence of tobacco-associated tumours in the León Health Area, Spain. Material and methods An observational, descriptive study was carried out on tumours of Hospital Registry of Tumours of the University Hospital Complex of León between 1997 and 2014. León Health Area residents, associated with smoking were included. Gross and adjusted rates were calculated and adjusted for triennials. For the analysis of spatial distribution, municipal relative hazards were smoothed by adjusting the Besag, York, and Mollié model and for their posterior probabilities for relative hazards to be higher than 1, using Bayesian methods. Results A total of 7,103 cases were included. Crude incidence rates rose from 116.4 (1997-1999) to 228.0 (2012-2014) per 100,000 men, and from 19.8 (1997-1999) to 44.5 (2012-2014) per 100,000 women. The adjusted rates for the European population also increased from 116.2 (1997-1999) to 136.9 (2012-2014) per 100,000 men, and from 11 (1997-1999) to 24.5 (2012-2014) per 100,000 women. In the south and centre of the province, there were municipalities with high relative hazards, several of them higher than 2 with posterior probabilities of 1. Conclusions Tumours associated with tobacco increased in the triennial studied, especially in women. The different geographical distribution can be used as a tool to prevent tobacco consumption in the areas involved.

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